CYP2D6 mediates 4-hydroxylation of clonidine in vitro: implication for pregnancy-induced changes in clonidine clearance.

Article Details

Citation

Claessens AJ, Risler LJ, Eyal S, Shen DD, Easterling TR, Hebert MF

CYP2D6 mediates 4-hydroxylation of clonidine in vitro: implication for pregnancy-induced changes in clonidine clearance.

Drug Metab Dispos. 2010 Sep;38(9):1393-6. doi: 10.1124/dmd.110.033878. Epub 2010 Jun 22.

PubMed ID
20570945 [ View in PubMed
]
Abstract

Clonidine is a centrally acting, alpha-2 adrenergic agonist used for the treatment of hypertension during pregnancy. The metabolic pathways of clonidine are poorly understood, and the quantitative contribution of specific human cytochrome P450 (P450) isoforms has not been systematically assessed. In this study, 17 cDNA-expressed P450 enzymes, in addition to pooled human liver microsomes, were evaluated for clonidine 4-hydroxylation activity in vitro. Five P450 enzymes-CYP2D6, 1A2, 3A4, 1A1, and 3A5-catalyzed measurable formation of 4-hydroxyclonidine. Selective inhibition studies in human liver microsomes confirmed that these isoforms are jointly responsible for 4-hydroxylation of clonidine in vitro, and CYP2D6 accounted for approximately two-thirds of the activity. The major role of CYP2D6 in clonidine metabolism might explain the increase in its nonrenal clearance during pregnancy.

DrugBank Data that Cites this Article

Drugs
Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
ClonidineCytochrome P450 1A1ProteinHumans
Unknown
Substrate
Details
ClonidineCytochrome P450 1A2ProteinHumans
Unknown
Substrate
Details
ClonidineCytochrome P450 2D6ProteinHumans
Unknown
Substrate
Details
ClonidineCytochrome P450 3A4ProteinHumans
Unknown
Substrate
Details
ClonidineCytochrome P450 3A5ProteinHumans
Unknown
Substrate
Details
Drug Reactions
Reaction
Details
Drug Interactions
DrugsInteraction